8 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
24 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Castro Valley, CA
4-star overall rating with 4-star inspections with $2,098 in total fines with 8 recent health deficiencies with 24 fire-safety deficiencies in the latest cycle
22103 Redwood Road, Castro Valley, CA
(510) 537-8848
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
70
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Links Healthcare Group
Operator or chain grouping
Approved since
1989-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
31 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.74
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.57
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.26
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.69
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.85
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.19
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.76
CMS adjusted RN staffing hours
Adjusted total hours
4.35
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
6,364
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.15
Composite VBP score used to determine payment impact.
Payment multiplier
0.9875
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.37
Performance 20.33% · Measure score 2.37 · Achievement 2.37 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.32
Performance 6.54% · Measure score 4.32 · Achievement 4.32 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
3.25
Baseline 4.28 hours · Performance 4 hours · Measure score 3.25 · Achievement 3.25 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.72% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 65 · Observed rate 6.15% · Lower 95% interval 5.82% |
| Discharge to community | 47.64% |
50.57%
2.9 pts worse
|
No Different than the National Rate · Eligible stays 48 · Observed rate 41.67% · Lower 95% interval 35.31% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 93 · Denominator 93 |
| Falls with major injury | 2.15% |
0.77%
1.4 pts worse
|
Numerator 2 · Denominator 93 |
| Discharge self-care score | 54.76% |
53.69%
1.1 pts better
|
Numerator 23 · Denominator 42 |
| Discharge mobility score | 35.71% |
50.94%
15.2 pts worse
|
Numerator 15 · Denominator 42 |
| Pressure ulcers or injuries, new or worsened | 2.17% |
2.29%
0.1 pts better
|
Numerator 2 · Denominator 92 · Adjusted rate 2.25% |
| Healthcare-associated infections requiring hospitalization | 6.54% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 63 · Observed rate 4.76% · Lower 95% interval 3.43% |
| Staff COVID-19 vaccination coverage | 19.26% |
8.2%
11.1 pts better
|
Numerator 26 · Denominator 135 |
| Staff flu vaccination coverage | 67.32% |
42%
25.3 pts better
|
Numerator 103 · Denominator 153 |
| Discharge function score | 42.86% |
56.45%
13.6 pts worse
|
Numerator 18 · Denominator 42 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 35 · Denominator 35 |
| Transfer of health information to patient | 91.11% |
96.28%
5.2 pts worse
|
Numerator 41 · Denominator 45 |
| Resident COVID-19 vaccinations up to date | 18.75% |
25.2%
6.4 pts worse
|
Numerator 9 · Denominator 48 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.3
1 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
1.6
0.6 pts worse
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.0 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
98.5%
1 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.8% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.8% |
98.2%
6.4 pts worse
|
95.5%
3.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
1.6%
2.2 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.8% · Q3 4.3% · Q4 2.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
6.8%
5.6 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.3% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 1.8% |
4.1%
2.3 pts better
|
5.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.9% |
13.7%
4.2 pts worse
|
19.6%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 21.6% · Q3 23.3% · Q4 23.4% · 4Q avg 17.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.2% |
14.2%
4 pts better
|
16.7%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 19.0% · Q3 11.8% · Q4 10.5% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.5% |
11.0%
3.5 pts worse
|
16.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.7% |
10.7%
4 pts worse
|
14.9%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 17.6% · Q3 12.5% · Q4 2.4% · 4Q avg 14.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.2%
0.7 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.7% |
10.9%
5.2 pts better
|
19.8%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 8.0% · Q3 2.5% · Q4 4.6% · 4Q avg 5.7% |
| Percentage of long-stay residents with pressure ulcers | 8.7% |
4.7%
4 pts worse
|
5.1%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 8.6% · Q3 5.7% · Q4 12.0% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
94.0%
3.5 pts better
|
81.7%
15.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 98.3% · Q3 97.5% · Q4 97.4% · 4Q avg 97.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.9% |
11.2%
5.7 pts worse
|
12.0%
4.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.9% · Observed 16.4% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.5%
0.5 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.9% · Q3 0.9% · Q4 1.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.4% |
93.2%
4.8 pts worse
|
79.7%
8.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.5% |
23.2%
6.3 pts worse
|
23.9%
5.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.5% · Observed 31.5% · Expected 25.5% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
24 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Resident Rights (4 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-11-19
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-19
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-19
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-11-19
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-19
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-11-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-19
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-19
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-11-19
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-11-19
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-11-19
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2024-11-19
Fire Safety
Use approved construction type or materials.
Corrected 2024-11-19
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-19
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-11-19
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-19
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-11-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-19
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-11-19
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-11-19
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2021-08-25
Fire Safety
Provide primary/alternate means for communication.
Corrected 2021-07-23
Fire Safety
Provide family notifications of emergency plan.
Corrected 2021-08-25
Fire Safety
Use approved construction type or materials.
Corrected 2021-08-25
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-08-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-08-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-08-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-08-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-08-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-08-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-08-21
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2020-08-21
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2020-08-21
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2020-08-21
Fire Safety
Provide primary/alternate means for communication.
Corrected 2020-08-21
Fire Safety
Provide family notifications of emergency plan.
Corrected 2020-08-21
Fire Safety
Establish emergency prep training and testing.
Corrected 2020-08-21
Fire Safety
Establish staff and initial training requirements.
Corrected 2020-08-21
Fire Safety
Implement emergency and standby power systems.
Corrected 2020-08-21
Fire Safety
Use approved construction type or materials.
Corrected 2020-08-21
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2020-08-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-08-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-08-21
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-08-21
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Not marked corrected
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-12-01
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-12-01
Health
Assess the resident when there is a significant change in condition
Corrected 2024-12-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-01
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-12-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-27
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-10-13
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2021-08-16
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2021-08-16
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-08-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-08-16
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2021-08-16
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2020-04-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-04-08
Health
Provide and implement an infection prevention and control program.
Corrected 2020-04-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-04-08
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2020-04-08
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2020-04-08
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2020-04-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-04-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-04-08
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2020-04-08
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2020-04-08
Penalties and ownership
Fine · fine $2,098
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
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3-star overall rating with 3-star inspections with 8 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Hayward, CA
4-star overall rating with 3-star inspections with $18,325 in total fines with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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